| NPI | 1821536632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5734) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-09-2231) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2026-04-13 |